SHANNON M. BURGESS, OD (NPI# 1275835829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275835829 |
| Entity Type | Organization |
| Organization Name | SHANNON M. BURGESS, OD |
| Other Organization Name | VALLEY FORGE EYE CARE |
| Practice Address |
1260 Valley Forge Rd Suite 108 Phoenixville PA 19460-2691 |
| Practice Telephone | 6109170700 |
| Practice Fax Number | 6109170708 |
| Mailing Telephone | 6109170700 |
| Mailing Fax Number | 6109170708 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2011-08-25 |
| Authorized Official Name | DR. SHANNON M. BURGESS (OPTOMETRIST) |
| Authorized Official Telephone | 6109170700 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
OEG000127 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KEYSTONE HEALTH PLAN | 2013716000 | 01 | |
| BLUE SHIELD | 001321149 | 01 | |
| CAPITAL BLUE CROSS | 50004981 | 01 |
| Other Name | Type Code |
|---|---|
| Valley Forge Eye Care | Doing Business As Name - Organization |
| Street Address |
1260 VALLEY FORGE RD SUITE 108 |
| City | PHOENIXVILLE |
| State | PA |
| Zip Code | 19460-2691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902898208 | John J Flanagan | Surgery | 1260 Valley Forge Rd, Suite 102, Phoenixville, PA 19460-2691 | 2005-08-22 |
| 1932223104 | Cara R Cohen | Physician Assistant | 1260 Valley Forge Rd, Suite 101, Phoenixville, PA 19460-2691 | 2007-03-16 |
| 1831294198 | Associated Vein Solutions, PC | Surgery | 1260 Valley Forge Rd, Suite 102, Phoenixville, PA 19460-2691 | 2006-09-13 |
| 1851336051 | Christopher John Hussin | Dentist | 1260 Valley Forge Rd, Suite 110, Phoenixville, PA 19460-2691 | 2006-06-19 |
| 1457313835 | Shannon M Burgess | Optometrist | 1260 Valley Forge Rd, Suite 108, Phoenixville, PA 19460-2691 | 2006-04-03 |
| 1558343749 | Julie L Halpin | Physician Assistant | 1260 Valley Forge Rd, Suite 101, Phoenixville, PA 19460-2691 | 2005-11-15 |
| 1801877279 | Sharon L Zellis | Dermatology | 1260 Valley Forge Rd, Ste 101, Phoenixville, PA 19460-2691 | 2005-11-10 |
| 1538140900 | Peter J Motel | Dermatology | 1260 Valley Forge Rd, Ste 101, Phoenixville, PA 19460-2691 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537030 | Dominique Butz | Counselor | 100 Yearsley Mill Road, Lima, PA 19460 | 2020-10-30 |
| 1801360573 | Pennsylvania Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 710 Wheatland St Ste 1, Phoenixville, PA 19460 | 2019-01-16 |
| 1518482702 | Megan Blair Webb | Massage Therapist | 215 Pine Drive, Phoenixville, PA 19460 | 2017-08-08 |
| 1053867697 | Steven Mehl | Psychologist | 865 Woodlawn Ave., Phoenixville, PA 19460 | 2016-09-01 |
| 1023564762 | Elizabeth Tarka | Internal Medicine | 111 Waverly Circle, Phoenixville, PA 19460 | 2016-09-01 |
| 1477901874 | Valley Forge Family Dentistry | Clinic/Center | 1288 Valley Forge Rd #70, Valley Forge, PA 19460 | 2016-05-26 |
| 1184088429 | Gisselle Vargas | Massage Therapist | 220 Third Ave, Phoenixville, PA 19460 | 2016-04-13 |
| 1992179022 | Monir Morgan | Counselor | 1041 West Bridge Street, Phoenixville, PA 19460 | 2015-12-01 |
| 1437531548 | Hiteshkumar K Nada | Dentist | 247 Schuylkill Road Phoenixville, Phoenixville, PA 19460 | 2015-06-25 |
| 1871995464 | Smart Serve Medical | Durable Medical Equipment & Medical Supplies | 69 Greenbriar Drive, Phoenixville, PA 19460 | 2014-09-25 |
| Find all providers in zip 19460 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356795694 | Monarch Integrative Medicine, LLC | Clinic/Center | 267 Schuylkill Rd, Phoenixville, PA 19460-1879 | 2016-04-22 |
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|---|---|---|---|---|
| 1205434370 | Blue Mountain Regenerative Medicine Pllc | Clinic/Center | 124 E Main St., Fredericksburg, PA 17026-0152 | 2020-10-12 |
| 1134779473 | Specialty Medical Care Services, LLC | Clinic/Center | 18e S 7th St, Akron, PA 17501-1363 | 2019-09-18 |
| 1225688559 | Oneskin Dermatology LLC | Clinic/Center | 211 Grant Street, Chambersburg, PA 17201 | 2019-09-18 |
| 1992273890 | Sandpipermd, Inc. | Clinic/Center | 407 S 10th St Fl 2, Philadelphia, PA 19147-1274 | 2018-11-08 |
| 1578043592 | Greater Pittston Urology | Clinic/Center | 250 Kennedy Blvd Ste 2, Pittston, PA 18640-1814 | 2018-08-20 |
| 1871953737 | Fulton County Medical Center | Clinic/Center | 622 Water St, Orbisonia, PA 17243-9424 | 2016-03-04 |
| 1962872861 | Mb Integrative Medicine LLC | Clinic/Center | 6782 Germantown Ave, Philadelphia, PA 19119-2110 | 2015-10-05 |
| 1437528817 | Charles S. Yanofsky, Md | Clinic/Center | 120 Pelham Rd, Camp Hill, PA 17011-1352 | 2015-09-16 |
| 1134597735 | Rheumatology Care Specialists | Clinic/Center | 1786 Wilmington Pike Ste 100b, Glen Mills, PA 19342-8122 | 2015-09-13 |
| 1346639861 | Seraly Eye Care Associates LLC | Clinic/Center | 220 E Mcmurray Rd, Mc Murray, PA 15317-2948 | 2015-01-21 |
| Find all providers with the same taxonomy | ||||
| City | PHOENIXVILLE |
| Zip Code | 19460 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.